| NPI | 1386312288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BRYCE Administrator 469-774-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-01-11 |